中国农村卫生事业管理2026，Vol.46Issue(4)：258-262,5.DOI:10.19955/j.cnki.1005-5916.2026.04.005
医共体模式下全-专科联合门诊和联合病房实践探索
Construction and exploration of general-specialist joint clinics and joint wards under the medical consortium model
摘要
Abstract
Objective To explore effective organizational forms for hierarchical diagnosis and treatment and chronic disease management,providing replicable reference experiences for the sustainable development of county-level integrated healthcare systems.Methods Based on the analysis of work experience during the pilot phase of the integrated healthcare system,combined with field research and expert discussions to address existing issues,practical initiatives were implemented at the regional grassroots level to explore the construction of a new integrated healthcare system model.Results After five years of practice,an integrated prevention-treatment sys-tem was proposed and established,focusing on general-specialist joint clinics and chronic disease joint wards.This system addressed deep-seated institutional and mechanistic contradictions,broke the bottleneck of limited high-quality medical resources at the grassroots level,enhanced primary care service capabilities,and explored a practi-cal and sustainable reform path to achieve the three enhancements(enhancing grassroots primary care,enhancing resource allocation to grassroots levels,and enhancing chronic disease management).Conclusions General-spe-cialist joint clinics and chronic disease joint wards are effective organizational forms for hierarchical diagnosis and treatment and chronic disease management,providing practical references for the reform of county-level integrated healthcare systems.关键词
全-专科联合门诊/慢病联合病房/医防融合/医共体/分级诊疗/服务能力/高质量发展Key words
Integrated general-specialist clinic/Co-managed ward for chronic diseases/Medical-preven-tion integration/Medical community/Hierarchical medical system/Service capacity/High-quality development分类
医药卫生引用本文复制引用
余利荣,鲁君敏,陈金芳,王伟达,黄玲英..医共体模式下全-专科联合门诊和联合病房实践探索[J].中国农村卫生事业管理,2026,46(4):258-262,5.基金项目
浙江省康恩贝医院管理软科学研究项目课题(2025ZHA-KEB322) （2025ZHA-KEB322）
